Individual
DR. CHRISTINE R NICHOLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1568 WOODBOURNE RD, LEVITTOWN, PA 19057-1508
(215) 943-7800
(215) 943-5799
Mailing address
1568 WOODBOURNE RD, LEVITTOWN, PA 19057-1508
(215) 943-7800
(215) 943-5799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00559900
NJ
152W00000X
Optometrist
Primary
OEG000874
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01748393-01
—
PA
05
—
7915705
—
NJ
Enumeration date
03/27/2006
Last updated
07/09/2007
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